Bright Health
What does Bright Health actually pay hospitals? We analyzed 768 negotiated rates from 5 hospitals across 2 states.
Is Bright Health Expensive or Cheap?
Based on our analysis of 768 negotiated rates, Bright Health is significantly more expensive than average compared to other insurance companies in our database. They pay roughly 1.3x what Medicare pays for equivalent services.
Top Procedures with Negotiated Rates
Procedures where Bright Health has the most rate data
| Code | Description | Rates | Avg Rate | Min | Max |
|---|---|---|---|---|---|
| 36415 | VENIPUNCTURE | 15 | $11 | $5 | $38 |
| 80053 | Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (8 | 15 | $51 | $11 | $610 |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | 15 | $15,469 | $14,475 | $18,675 |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 15 | $19,612 | $18,312 | $23,965 |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | 15 | $26,991 | $25,083 | $33,649 |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC | 15 | $52,194 | $46,696 | $72,780 |
| 85025 | Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count | 14 | $8 | $8 | $13 |
| 897 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC IPF | 14 | $5,332 | $940 | $9,658 |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | 14 | $5,885 | $5,659 | $6,357 |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | 14 | $6,576 | $6,288 | $7,398 |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOU | 14 | $7,738 | $7,415 | $8,738 |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | 14 | $7,954 | $7,628 | $8,965 |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 14 | $8,003 | $7,674 | $9,026 |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | 14 | $8,353 | $7,952 | $9,804 |
| 292 | HEART FAILURE AND SHOCK WITH CC | 14 | $8,393 | $8,001 | $9,788 |
| 603 | CELLULITIS WITHOUT MCC | 14 | $8,580 | $8,183 | $10,004 |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | 14 | $8,944 | $8,574 | $10,188 |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 14 | $10,599 | $10,143 | $12,315 |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | 14 | $10,747 | $10,295 | $12,430 |
| 291 | HEART FAILURE AND SHOCK WITH MCC | 14 | $12,170 | $11,601 | $14,519 |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH M | 14 | $12,516 | $12,030 | $14,355 |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | 14 | $13,208 | $12,599 | $15,773 |
| 602 | CELLULITIS WITH MCC | 14 | $13,412 | $12,739 | $16,350 |
| 562 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WIT | 14 | $13,472 | $12,768 | $16,595 |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | 14 | $18,478 | $17,621 | $22,372 |
Hospitals with Bright Health Rates
Hospitals where we have negotiated rate data for Bright Health
| Hospital | State | Rates | Procedures | Avg Rate | Range |
|---|---|---|---|---|---|
| HCA HEALTHONE AURORA | CO | 272 | 71 | $20,420 | $8 - $235,529 |
| HCA HEALTHONE PRESBYTERIAN ST LUKES | CO | 272 | 51 | $21,455 | $8 - $232,973 |
| CHI St. Luke's Health Brazosport | TX | 105 | 105 | $15,387 | $5 - $319,318 |
| St. Luke's Sugar Land Hospital | TX | 105 | 105 | $15,387 | $5 - $319,318 |
| CHI St. Luke's Health Springwood Village | TX | 14 | 14 | $33,791 | $8,816 - $72,780 |
About This Data
These rates are from hospital Machine-Readable Files (MRFs) required by the CMS Hospital Price Transparency Rule. They reflect specific hospital-payer contracts and may not represent your actual cost, which depends on your specific plan, deductible, copay, coinsurance, and network status. Data sources include CommonSpirit Health, HCA Healthcare, and Kaiser Permanente filings.